I'm pretty sure some people are just this way, I highly doubt medication would solve such problems if someone is angry, frustated, socially awkward or wants to be annoying It's just in their nature It's not that heavy that people need to have medication. If someone wants to enjoy their free time spamming on a forum so be it, could be a normal person for all that we know.
I will say though some of those batshit alien future stories of for example marvelvscapcom 2/ oldgamerz now that's something else as far as brain thoughts go, I'm pretty sure they were pretty high on drugs at the time
I mean seriousy if there are any accounts under the same person it's those two no questions asked not to mention the similarities in their normal or sub normal topics and the two being heavy topic starters.